Employee Eligibility
Employees must complete an enrollment form to enroll in coverage. Employees must be regularly scheduled to work at least thirty hours per week in a non-seasonal, non-temporary position in order to be eligible for dental insurance.
Eligible Dependents
- Spouse (legally married)
 - A child under the age of 26 who meets at least one of the following criteria:
 
- Employee's natural (biological) child
 - Employee's adopted child (including a child placed for adoption in anticipation of adoption)
 - A child for whom the employee is the legal guardian
 - Employee's child for whom the plan has received a qualified medical child support order requiring the child to be enrolled in health insurance
 
- An employee or spouse's stepchild under the age of 26 for whom the employee or spouse is providing care
 - Dependents over the age of 26 who are incapacitated (mentally or physically incapable of earning a living regardless of age). This provision applies only when the incapacity existed before the dependent's 26th birthday and they were already insured by a state-sponsored plan.
 
Dependents who are not eligible for coverage include: 
 
- Foster children
 - Dependents not listed in the above definitions
 - Parent's of the employee or spouse
 - Ex-spouse
 - Live in companions who are not legally married to the employee
 
Premiums
12 Pay Periods  | 
24 Pay Periods  | 
20 Pay Periods  | 
|
| 
 Teachers, Assistants, Secretaries, Principals, Central Office  | 
 Custodians & Maintenance  | 
 Food Service & Security  | 
|
| Employee | $29.94  | 
$14.97  | 
$17.96  | 
| Employee + 1 | $60.56  | 
$30.28  | 
$36.64  | 
| 2EE Family | $112.54  | 
$56.27  | 
$67.52  | 
| Family | $116.54  | 
$58.27  | 
$69.92  | 
Dental Coverage and Percentages
Delta Dental Enrollment or Change Form
Provider Directories
Delta Dental Premier Directory
Delta Contact
1-800-223-3104